Griffin, B. J., et al. (2025).
Npj Mental Health Research, 4(1).
Abstract
This study explores the link between moral injury and suicidal thoughts and behaviors among US military veterans, healthcare workers, and first responders (N = 1232). Specifically, it investigates the risk associated with moral injury that is not attributable to common mental health issues. Among the participants, 12.1% reported experiencing suicidal ideation in the past two weeks, and 7.4% had attempted suicide in their lifetime. Individuals who screened positive for probable moral injury (6.0% of the sample) had significantly higher odds of current suicidal ideation (AOR = 3.38, 95% CI = 1.65, 6.96) and lifetime attempt (AOR = 6.20, 95% CI = 2.87, 13.40), even after accounting for demographic, occupational, and mental health factors. The findings highlight the need to address moral injury alongside other mental health issues in comprehensive suicide prevention programs for high-stress, service-oriented professions.
Here are some thoughts:
This study found that moral injury—a psychological distress resulting from events that violate one's moral beliefs—is independently associated with a significantly higher risk of suicidal ideation and suicide attempts among high-stress, service-oriented professionals, including military veterans, healthcare workers, and first responders. Even after accounting for factors like PTSD and depression, those screening positive for probable moral injury had approximately three times higher odds of recent suicidal ideation and six times higher odds of a lifetime suicide attempt. The findings highlight the need to address moral injury specifically within suicide prevention efforts for these populations.
